Westbend Equipment Products
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Request for Lift Tables Quote

* Denotes Required Fields

* Name:
Title:
Company Name:
Division:
Address:
 
City:
State/Province:
Zip Code:
Country:
Phone:
Fax:
* Email:
May we send you periodic
email with information
about our products? 		Yes    No
Your Company Web Site:
How did you learn about our website?
Literature  
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Other Please specify:


Platform
Width inches
Length inches
Lowered Height inches
Raised height
inches
Vertical travel inches
Capacity pounds
Power supply AC DC
Voltage Frequency Phase
Performance  

Desired Travel

Time to raise seconds
Time to lower seconds
Number of cycles per shift
Side load Yes No
End load Yes No
Will load be evenly distributed on the platform?
How will platform be loaded/unloaded?
Features
Handrails Yes No
Beveled toe guards Yes No
Accordion skirt Yes No
If you need other perimeter protective devices, please
specify.
Where will the power unit be mounted? Within the envelope of the lift table
Externally mounted
Other Requirements
* Validation Code
Validation Image 		Enter the validation code you see to the left
     


* We accept MasterCard, Visa and American Express.

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Memberships

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